The presentation of hypoactive sexual desire disorder in premenopausal women

The Journal of Sexual Medicine
Nancy N MaserejianRaymond C Rosen

Abstract

Little is known about the clinical presentation of hypoactive sexual desire disorder (HSDD) in premenopausal women or their perceptions of sexual problems. Describe characteristics of premenopausal women with clinically diagnosed acquired, generalized HSDD, and investigate factors perceived to contribute to desire problems. Cross-sectional analysis of baseline data from premenopausal women with clinically diagnosed and confirmed HSDD enrolled during the first year of the HSDD Registry for Women (N=400). Relationship, demographic, and clinical characteristics were assessed by clinician's medical history review and self-administered questionnaire. Sexual desire function was measured by the validated Female Sexual Function Index (FSFI). Over 85% of women cited multiple factors that contributed to ongoing decreased desire (mean 2.9± 2.3 factors, range 0-12). Most commonly cited contributing factors were "stress or fatigue" (60.0%), "dissatisfaction with my physical appearance" (40.8%), and other sexual difficulties (e.g., inability to reach orgasm) (33.5%). Exploratory analyses of the FSFI score confirmed that self-image (P=0.002) and other sexual problems (P<0.001) were significantly associated with decreased desire. Almost all (9...Continue Reading

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Citations

Nov 14, 2013·Menopause : the Journal of the North American Menopause Society·Sheryl A Kingsberg, Roya L Rezaee
Mar 29, 2012·Menopause : the Journal of the North American Menopause Society·Sheryl A Kingsberg
Jul 2, 2011·The Journal of Sexual Medicine·Francesco Bianchi-DemicheliStephanie Ortigue
Apr 1, 2015·Journal of Sex & Marital Therapy·Marta Parkanyi WitherowAntal Bugan
Mar 22, 2012·Psychosomatic Medicine·Anita H ClaytonRaymond C Rosen
Jun 22, 2018·Archives of Sexual Behavior·Eugenia Cherkasskaya, Margaret Rosario
Dec 9, 2020·Journal of Sex & Marital Therapy·Leonor de OliveiraPedro Nobre
Mar 12, 2021·Gynecological Endocrinology : the Official Journal of the International Society of Gynecological Endocrinology·Rossella E NappiAlessandro D Genazzani
Oct 15, 2021·British Journal of Nursing : BJN·Angela Gregory

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